HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: fVlarcn �I`1 Ai Permit Number:
• RECEIVED
Building Permit Application JUN 19 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 —.—_..___
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 276 NE Mainsail Street, Port ST Lucie, FL 34983
Legal Description: RIVER PARK-UNIT 9-PART C BLK 80 LOT 3(MAP 34/21S)(OR 2121-1353)
Property Tax ID#: 3419-570-0077-000-7 Lot No. 3
Site Plan Name: Hooper Fence Install Block No. blk
Project Name: Install PVC Fence
Setbacks Front 25+' Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 195' LF of 6' tall PVCNinyl privacy fence with 2ea 5' walk gates.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4,915.00 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mary Hooper Name: Darrick Bailey
Address:276 NE Mainsail Street Company: A Great Fence
City: Port ST Lucie State:FL Address: 751 NW Enterprise Drive
Zip Code: 34985 Fax: City: Port ST Lucie State:FL
Phone No.561-472-4698 Zip Code: 34986 Fax: 408-0272
E-Mail:hoopl647@yahoo.com Phone No. 812-0223
Fill in fee simple Title Holder on next page(if different E-Mail: info@agreatfence.com
from the Owner listed above) State or County License: 23954
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first i spe tion. If you intend to obtain financing, consult with lender or an attorney before
commencin w rk recordin ur N tice of Commencement.
h/w/l/ 14
i
Signature w e ee/Contr for s Agent for Owner Signature of n (tor/ cense Hol r
STATE F FLORI STATE O FLORID
COUNTY OF 3TW=i COUNTY OF STLu.a
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 29 day of March 20_ by this 29 day of March 20_ by
Darrick Bailey Darrick Bailey
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of NotaryfP/u lic-Sta a of Florida) (Signature of Notary Public ate of Florida)
Commission No. GG11 6 8 mmission No. GG12761
CRYSTAL Y BISHO ;•':i,�•: CRYSTAL Y BISHOP
MY COMMISSION#GG127 18 MY COMMISSION#GG127618
.° July Z4,2021EXPIRE S July 24,2021
REVIEWS FRONTi— LANS VEGETATION "'Sb TURTLE MANGROVE_J
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17